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先天性肠系膜裂孔疝少见,术前难以确诊,一旦肠绞窄则严重危及生命。我院从1960年1月至1993年7月共收治4例,占同期收治小儿急性肠梗阻622例的0.64%,现报告如下。一、临床资料年龄43天～6岁6个月。本组患儿均有阵发性哭闹或腹痛,发热,脉搏增快,频繁呕吐,轻～中度腹胀,面色苍白,反应迟钝等症状和体征。有腹膜炎体征3例,腹部可摸到包块1例。3例手术治疗,1例尸检。本组肠系膜裂孔均位于小肠系膜,直径1.5～3.0 cm,疝入肠袢20～200 cm,肠坏死3例。手术的3例均行部分小肠切除端端吻合术。治愈2例,死亡2例,病死率50%。二、讨论肠系膜裂孔疝发病率很低,占肠梗阻天1%以
Congenital mesenteric hiatal hernia is rare, difficult to diagnose before surgery, once the intestinal strangulation is a serious life-threatening. Our hospital from January 1960 to July 1993 were treated in 4 cases, accounting for the same period admitted to pediatric acute ileus 622 cases of 0.64%, are as follows. First, the clinical data Age 43 days to 6 years 6 months. This group of children have paroxysmal crying or abdominal pain, fever, pulse, frequent vomiting, mild to moderate abdominal distension, pale, unresponsive and other symptoms and signs. There are signs of peritonitis in 3 cases, the abdomen palpable mass in 1 case. 3 cases of surgical treatment, 1 case of autopsy. Mesenteric hiatus in this group are located in the small intestine, diameter 1.5 ~ 3.0 cm, hernia into the intestine 袢 20 ~ 200 cm, 3 cases of intestinal necrosis. Three cases underwent partial anastomosis of small intestine resection. 2 cases were cured, 2 died, the fatality rate was 50%. Second, discuss the incidence of mesenteric hiatal hernia is very low, accounting for 1% of intestinal obstruction day